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51 Cards in this Set

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Haldol - Generic Name
haloperidol lactate
Haldol - Classification
antipsychotic/neuroleptic
Haldol - Action
blocks dopamine (type 2) receptors in the brain, altering mood and behavior
Haldol - Onset
30 - 60 minutes
Haldol - Duration
12 - 24 hours
Haldol - Indications
acute psychotic episodes

emergency sedation of severely agitated or delirious patients
Haldol - Contraindications
(4)
2c,p,s
CNS depression
coma
pregnancy
severe liver or cardiac disease
Haldol - Side Effects
(6)
a,b,d,h,n,o
allergic reactions
blurred vision
dose related extrapyramidal reactions
hypotension
N/V
orthostatic hypotension
Haldol - Notes
may inhibit vasoconstrictor effects of epi
Haldol - Adult Dose
2 - 5 mg IM every 4 - 8 hours as needed
Haldol - Peds Dose
Not established
Haldol - Pregnancy Class
Class C
Lidocaine - Names
Xylocaine
Lidocaine - Classification
antidysrhythmic, local anesthetic
Lidocaine - Action
decreases automaticity

treats V-tach and some V-fib

raises V-fib threshold
Lidocaine - Onset
30 - 90 seconds
Lidocaine - Duration
10 - 20 minutes
Lidocaine - Indications
V-tach
V-Fib
wide complex tachycardia of uncertain origin
significant ventricular ectopy in MI
Lidocaine - Contraindications
2nd degree block w/no pacemaker
3rd degree block w/no pacemaker
Adams-Stokes syndrome
Lidocaine - Side Effects
aloc
bradycardia
blurred vision
cardiovascular collapse
confusion
hypotension
light-headedness
Lidocaine - Adult Dose, Initial dose
1 - 1.5 mg/kg IV bolus (ET 2 - 2.5 times dose), consider repeat in 3 - 5 minutes

max total dose 3 mg/kg

single dose of 1.5 mg/kg is acceptable for refractory fib/tach
Lidocaine - Peds Dose, Arrest/V-tach/V-fib
1 mg/kg IV/IO or ET (diluted to 3 - 5 mL)
Lidocaine - Adult Dose, Maintenance Infusion
1 - 4 mg/min
Lidocaine - Peds Dose, Maintenance Infusion
20 - 50 mcg/kg/min
Lidocaine - Peds Dose, Wide Complex PSVT/tach of uncertain type/Sable V-tach
1 - 1.5 mg/kg IV, follow w/infusion after conversion
Lidocaine - Pregnancy Class
Class B
Lidocaine - Notes
apnea induced by sux may be prolonged w/large doses of lidocaine

always treat brady w/atropine before treating PVCs with lido

decrease dose in elderly
Isoproterenol - Names
Isuprel
Isoproterenol - Action
increases inotropic activity
increases chronotropic activity
causes arterial and bronchodilation
Isoproterenol - Classification
sympathomimetic
Isoproterenol - Onset
1 - 5 minutes
Isoproterenol - Duration
15 - 30 minutes
Isoproterenol - Indications
hemodynamically significant bradys unresponsive to atropine, TCP, dopamine, and epi

torsades de pointes
Isoproterenol - Contraindications
(6)
c,h,i,p,2v
cardiac arrest
hypotension
ischemic heart disease/angina
pulseless idioventricular rhythm
v-tach
v-fib
Isoproterenol - Side Effects
discoloration of saliva (pink)
dry throat
dysrhythmias
facial flushing
hypotension
precipitation of angina pectoris
restlessness
Isoproterenol - Adult Dose
dilute 1 mg in 250 mL D5W (4 mcg/mL) and infuse at 2 - 10 mcg/min to effect
Isoproterenol - Peds Dose
not recommended
Isoproterenol - Pregnancy Class
Class C
Isoproterenol - Notes
pacing is preferrable to isoproterenol

can increase myocardial oxygen demand and induce serious dysrhythmias
Magnesium Sulfate - Class
electrolyte
Mag Sulfate - Action
reduces striated muscle contraction

blocks peripheral neuromuscular transmission

inhibits contractions of premature labor
Mag Sulfate - Onset
IV: immediate

IM: 3 - 4 hours
Mag Sulfate - Duration
IV: 30 min

IM: 3 - 4 hours
Mag Sulfate - Indications
refractory v-fib
seizures of eclampsia
status asthmaticus not responsive to beta-adrenergic drugs
suspected hypomagnesemia
torsades
Mag Sulfate - Side Effects
circulatory collapse
diaphoresis
diarrhea
facial flushing
hypotension
hypothermia
reduced heart rate
respiratory depression
Mag Sulfate - Contraindications
heart block
myocardial damage
Mag Sulfate - Adult Dose, Seizures associate w/pregnancy
1 - 4 g IV, max dose 30 - 40 g/day
Mag Sulfate - Adult Dose, Pulseless Arrest (hypomagnesemia, torsades)
1 - 2 g diluted in 10 mL D5W IV push
Mag Sulfate - Peds Dose
25 - 50 mg/kg (max 2 g) over 5 - 10 minutes
Mag Sulfate - Pregnancy Class
Class B
Mag Sulfate - Notes
the "cure" for toxemia is delivery of the baby

use w/caution in patients w/renal failure